通过远程医疗改善北部农村社区的医疗服务可及性。
Enhancing access to care in northern rural communities via telehealth.
作者信息
Jong Michael, Mendez Ivar, Jong Robert
机构信息
a Department of Family Medicine , Memorial University of Newfoundland , Happy Valley-Goose Bay , NL , Canada.
b Saskatoon Health Region , University of Saskatchewan , Saskatoon , Canada.
出版信息
Int J Circumpolar Health. 2019 Jan-Dec;78(2):1554174. doi: 10.1080/22423982.2018.1554174.
Abstract
The cost of providing health care in northern Canada is higher than the rest of Canada. Telehealth has the potential to reduce health care expenditures. Yet this is still underutilised in Canada and globally. This paper describes the services provided through telehealth in some northern regions of Canada. It provides recommendations on the requirements for setting up real presence telehealth and how utilisation can be enhanced. Telehealth offers potential benefits for health outcomes by increasing access to healthcare, and reducing expenditures.
摘要
在加拿大北部提供医疗保健的成本高于加拿大其他地区。远程医疗有降低医疗保健支出的潜力。然而，在加拿大乃至全球，远程医疗的利用率仍然很低。本文描述了加拿大一些北部地区通过远程医疗提供的服务。它就建立实体远程医疗的要求以及如何提高利用率提供了建议。远程医疗通过增加医疗保健的可及性和降低支出，为健康结果带来潜在益处。
相似文献
1
Enhancing access to care in northern rural communities via telehealth.通过远程医疗改善北部农村社区的医疗服务可及性。
Int J Circumpolar Health. 2019 Jan-Dec;78(2):1554174. doi: 10.1080/22423982.2018.1554174.
2
Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability.澳大利亚农村和偏远地区的远程医疗服务：护理模式以及影响成功与可持续性的因素的系统评价
Rural Remote Health. 2016 Oct-Dec;16(4):4268. Epub 2016 Nov 6.
3
Telehealth will supersede face-to-face consultations in rural Australia by 2025.到2025年，远程医疗将取代澳大利亚农村地区的面对面咨询。
Aust J Rural Health. 2015 Oct;23(5):255-6. doi: 10.1111/ajr.12239.
4
Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability.澳大利亚农村和偏远地区的远程医疗服务：对护理模式以及影响成功与可持续性的因素的系统评价
Rural Remote Health. 2016 Oct-Dec;16(4):3808. Epub 2016 Oct 17.
5
Patient and provider perspectives on eHealth interventions in Canada and Australia: a scoping review.患者和提供者对加拿大和澳大利亚电子健康干预措施的看法：范围综述。
Rural Remote Health. 2020 Sep;20(3):5754. doi: 10.22605/RRH5754. Epub 2020 Sep 19.
6
CMS telehealth proposal could aid rural beneficiaries.医疗保险和医疗补助服务中心的远程医疗提案可能会帮助农村受益人群。
J Med Assoc Ga. 2016;105(3):26, 28.
7
Driving Distance to Telemedicine Units in Northern Ontario as a Measure of Potential Access to Healthcare.安大略省北部到远程医疗单位的驾车距离作为衡量医疗保健潜在可及性的指标。
Telemed J E Health. 2016 Apr;22(4):269-75. doi: 10.1089/tmj.2015.0133. Epub 2015 Oct 9.
8
Rural access to clinical pharmacy services.农村地区获得临床药学服务的情况。
J Am Pharm Assoc (2003). 2014 Sep-Oct;54(5):518-25. doi: 10.1331/JAPhA.2014.13248.
9
Rural Family Physicians Are Twice as Likely to Use Telehealth as Urban Family Physicians.农村家庭医生使用远程医疗的可能性是城市家庭医生的两倍。
Telemed J E Health. 2018 Apr;24(4):268-276. doi: 10.1089/tmj.2017.0161. Epub 2017 Aug 14.
10
Barriers to Telehealth Uptake in Rural, Regional, Remote Australia: What Can Be Done to Expand Telehealth Access in Remote Areas?澳大利亚农村、地区和偏远地区远程医疗应用的障碍：如何扩大偏远地区的远程医疗服务可及性？
Stud Health Technol Inform. 2019 Aug 8;266:174-182. doi: 10.3233/SHTI190791.
引用本文的文献
1
Impact of socioeconomic status and urbanicity on healthcare utilization following bariatric surgery: a Canadian population-based cohort study.社会经济地位和城市化对减肥手术后医疗保健利用的影响：一项基于加拿大人群的队列研究。
Surg Endosc. 2025 Aug 20. doi: 10.1007/s00464-025-12047-y.
2
Advancing Regional and Remote Health Care With Virtual Hospital Implementation: Rapid Review.通过实施虚拟医院推进区域和远程医疗保健：快速综述
JMIR Hum Factors. 2025 Jun 3;12:e64582. doi: 10.2196/64582.
3
Bringing Care Close to Home: Remote Management of Heart Failure In Partnership with Indigenous Communities In Northern Ontario, Canada.将护理带到家门口：与加拿大安大略省北部原住民社区合作进行心力衰竭的远程管理。
CJC Open. 2024 Aug 27;6(12):1423-1433. doi: 10.1016/j.cjco.2024.08.011. eCollection 2024 Dec.
4
Mapping eating disorders in adolescents and young adults: an investigation of geographic distribution and access to care in Ontario, Canada.绘制青少年和青年饮食失调情况：加拿大安大略省地理分布及医疗服务可及性调查
J Eat Disord. 2024 Sep 9;12(1):136. doi: 10.1186/s40337-024-01098-6.
5
Successful Electronic Consultation Service Initiative in Quebec, Canada With Primary Care Physicians' and Specialists' Experiences on Acceptance and Use of Technological Innovation: Cross-Sectional Exploratory Study.加拿大魁北克成功开展电子咨询服务倡议：初级保健医生和专科医生对技术创新的接受与使用体验的横断面探索性研究。
JMIR Form Res. 2024 May 30;8:e52921. doi: 10.2196/52921.
6
Telemedicine visits requiring follow-up in-person visits at an urban academic family medicine centre.需要在城市学术性家庭医学中心进行后续面对面就诊的远程医疗问诊。
Fam Pract. 2024 Apr 15;41(2):105-113. doi: 10.1093/fampra/cmae008.
7
Exploring the Experiences of Virtual Inflammatory Bowel Disease Care in Saskatchewan.探索萨斯喀彻温省虚拟炎症性肠病护理的经验。
Can J Nurs Res. 2024 Mar;56(1):95-108. doi: 10.1177/08445621231219299. Epub 2023 Dec 7.
8
Surgical, trauma and telehealth capacity in Indigenous communities in Northern Quebec: a cross-sectional survey.魁北克北部原住民社区的外科、创伤和远程医疗能力：一项横断面调查。
Can J Surg. 2023 Nov 28;66(6):E572-E579. doi: 10.1503/cjs.013822. Print 2023 Nov-Dec.
9
In need of percutaneous coronary intervention in an arctic setting- patients' experience of safety and quality of care: a qualitative study.在北极环境中需要经皮冠状动脉介入治疗的患者：安全性和护理质量体验：一项定性研究。
Int J Circumpolar Health. 2023 Dec;82(1):2273016. doi: 10.1080/22423982.2023.2273016. Epub 2023 Oct 29.
10
Immigrant, Refugee, and Indigenous Canadians' Experiences With Virtual Health Care Services: Rapid Review.移民、难民和加拿大原住民使用虚拟医疗保健服务的体验：快速综述。
JMIR Hum Factors. 2023 Oct 9;10:e47288. doi: 10.2196/47288.
本文引用的文献
1
The use of technology to improve health care to Saskatchewan's First Nations communities.利用技术改善萨斯喀彻温省第一民族社区的医疗保健。
Can Commun Dis Rep. 2017 Jun 1;43(6):120-124. doi: 10.14745/ccdr.v43i06a01.
2
Remote Presence Robotic Technology Reduces Need for Pediatric Interfacility Transportation from an Isolated Northern Community.远程临场机器人技术减少了来自偏远北部社区的儿科患者的院际转运需求。
Telemed J E Health. 2018 Nov;24(11):927-933. doi: 10.1089/tmj.2017.0211. Epub 2018 Feb 2.
3
Implementation and Utilisation of Telepsychiatry in Ontario: A Population-Based Study.安大略省远程精神病学的实施和利用：基于人群的研究。
Can J Psychiatry. 2017 Oct;62(10):716-725. doi: 10.1177/0706743717711171. Epub 2017 May 25.
4
Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability.澳大利亚农村和偏远地区的远程医疗服务：护理模式以及影响成功与可持续性的因素的系统评价
Rural Remote Health. 2016 Oct-Dec;16(4):4268. Epub 2016 Nov 6.
5
Telepsychiatry in graduate medical education: a narrative review.研究生医学教育中的远程精神病学：一篇叙述性综述。
Acad Psychiatry. 2015 Feb;39(1):55-62. doi: 10.1007/s40596-014-0176-x. Epub 2014 Aug 26.
6
Understanding inequalities in access to health care services for aboriginal people: a call for nursing action.了解原住民获得医疗保健服务方面的不平等现象：呼吁护理行动。
ANS Adv Nurs Sci. 2014 Jul-Sep;37(3):E1-E16. doi: 10.1097/ANS.0000000000000039.
7
Mental health services for Nunavut children and youth: evaluating a telepsychiatry pilot project.努纳武特地区儿童和青少年的心理健康服务：评估一个远程精神病学试点项目。
Rural Remote Health. 2014;14(2):2673. Epub 2014 May 14.
8
The use of remote presence for health care delivery in a northern Inuit community: a feasibility study.在因纽特人北部社区使用远程临场技术提供医疗保健服务：一项可行性研究。
Int J Circumpolar Health. 2013 Aug 5;72. doi: 10.3402/ijch.v72i0.21112. eCollection 2013.
9
Resuscitation by video in northern communities.北部社区的视频复苏。
Int J Circumpolar Health. 2010 Dec;69(5):519-27. doi: 10.3402/ijch.v69i5.17686. Epub 2010 Nov 3.
10
To see or not to see--better dispatcher-assisted CPR with video-calls? A qualitative study based on simulated trials.见或不见——视频通话辅助调度员进行心肺复苏术是否更佳？一项基于模拟试验的定性研究。
Resuscitation. 2008 Sep;78(3):320-6. doi: 10.1016/j.resuscitation.2008.04.024. Epub 2008 Jun 25.
Zotero 插件